SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

NPI 1245264134, organization, San Francisco, CA, Hospice Care, Community Based

Evidence tier

network structure with a list link

Part of provider network D1-00071, ranked 71 nationally.

score 60 of 100, rank 3967, $0 at stake

Provider networks

D1-00071 ranked 71

74 providers around Yuba City, CA: 21 hospices, 47 home health agencies, 6 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE (also SUTTER CARE AT HOME)
Type	Organization
Status	Active
NPI issued	July 10, 2006, last updated August 11, 2025
Practice location	2340 CLAY ST STE 2B, San Francisco, CA 94115-1932, 415-749-4201
Mailing address	5099 COMMERCIAL CIR STE 208, Concord, CA 94520-1374
Authorized official	Mark Mcpherson (Ceo)
Specialties	Hospice Care, Community Based (251G00000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
0658	Medicaid service code	$1.1M	100%	$8K	$5K (top 5% from $7K)	87th percentile

In this area

19 providers in San Francisco County, CA carry an indicator in the public record, with $9.4M at stake between them. The most common is part of a provider network, on 9 of them, followed by more hours than a day holds on 8. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	JUAN POSADA San Francisco, CA, ranked 370	$2K	Listed on the Medicare revocation list since January 27, 2021. Medicaid still paid claims in 10 later months, $1,835 in total.
3	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE San Francisco, CA, ranked 1210	$339K	Part of provider network D1-00071, ranked 71 nationally.
3	PINE STREET SNF, LLC San Francisco, CA, ranked 1244	$262K	Part of provider network D1-00092, ranked 92 nationally.
3	OWEN HEALTHCARE, LLC San Francisco, CA, ranked 1373	$82K	Part of provider network D1-00031, ranked 31 nationally.
3	DONE HEALTH P.C. San Francisco, CA, ranked 1989	$0	Charged (indicted) per a Department of Justice release dated June 13, 2024, not adjudicated.
3	GOLDEN CALIFORNIA HEALTHCARE, LLC San Francisco, CA, ranked 3174	$0	Part of provider network D1-00092, ranked 92 nationally.
3	SUTTER BAY HOSPITALS San Francisco, CA, ranked 3652	$0	Part of provider network D1-00071, ranked 71 nationally.
3	GOLDEN GATEIDENCE OPCO, LLC San Francisco, CA, ranked 4070	$0	Part of provider network D1-00092, ranked 92 nationally.

All 19 in CA

Recent enforcement in CA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 27, 2026

Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare

Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit

Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit

Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.

Referral packet

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Ask this case

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